Key result
Postoperative cognitive impairment was identified in 63.8% of patients aged 45 to 80 years undergoing surgery, highlighting the potential utility of pre-anesthetic cognitive assessment.
Why the study?
Postoperative cognitive dysfunction is related to surgical and anesthetic techniques, and its prevention should be prioritized as extensive surgeries in older patients increase.
Does cognitive function assessment using the MoCA test detect postoperative cognitive dysfunction in patients undergoing surgery?
Observational (n=47)
No
Does cognitive function assessment using the MoCA test detect postoperative cognitive dysfunction in patients undergoing surgery?
Pre- and post-operative cognitive assessment using the MoCA test identified cognitive impairment in 63.8% of patients undergoing surgery, suggesting utility in detecting postoperative cognitive dysfunction.
Background: Postoperative cognitive dysfunction can be related to surgical processes and applied anesthetic techniques. The incidence of extensive surgery on older patients has increase as the population pyramid transition occurs, so prevention of postoperative cognitive dysfunction should be prioritized. Material and Methods: A prospective observational study was conducted, which included 47 Mexican subjects between the ages of 45 and 80 years. The MoCA test was applied before and after surgery in a private hospital in Mexico City between December 2018 and June 2019 Results: The Gender distribution was 46.8% were men and 53.2% were women, with an average age of 53.9 8.5 years (range 45-80 years). Cognitive impairment was identified in 63.8% of patients, men show statistically significant difference between the pre and post-anesthetic attention test.
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A 2020 study conducted an observational in Patients undergoing surgery (n=47). Surgery with anesthesia vs. Pre-operative baseline was evaluated on Cognitive impairment (MoCA score < 26 adjusted for education). Postoperative cognitive impairment was identified in 63.8% of patients aged 45 to 80 years undergoing surgery, highlighting the potential utility of pre-anesthetic cognitive assessment.
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